Provider Demographics
NPI:1134182017
Name:LOEFFELBEIN, ROBERT DONALD (PHARMD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DONALD
Last Name:LOEFFELBEIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 N BOWDOIN PL
Mailing Address - Street 2:APT 301
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7744
Mailing Address - Country:US
Mailing Address - Phone:206-547-5217
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:2 WEST CLINIC -MAILSTOP 359930
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-731-5151
Practice Address - Fax:206-731-5152
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00021446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist